识别PTSD长期治疗结果的预测因素,使用书面暴露治疗和认知处理治疗的叙述来确定PTSD的长期治疗结果
Danielle R Shayani1, Elizabeth Alpert2, J Ben Barnes3
1Department of Psychological and Brain Sciences, University of Delaware.
Psychological trauma : theory, research, practice and policy
|December 12, 2024
概括
对创伤后应激障碍 (PTSD) 的书面暴露疗法 (WET) 和认知处理疗法 (CPT) 显示出类似的疗效. 在CPT中对WET和情绪参与/认知变化的健康信念预测了长期的PTSD症状减少.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍 (PTSD) 是一种使人虚弱的疾病.
- 认知处理疗法 (CPT) 和书面暴露疗法 (WET) 是有效的PTSD治疗方法.
- 确定长期结果的预测因素对于治疗优化至关重要.
研究的目的:
- 确定WET和CPT中长期治疗结果的预测因素.
- 分析客户的书面叙述,以预测标记.
- 为了比较两种不同的PTSD治疗方式中的预测因素.
主要方法:
- 113名患有PTSD的成年人被随机分配到WET (n=60) 或CPT (n=53).
- 叙述被编码使用变化和成长经验量表.
- 评估了60周的长期PTSD症状结果.
主要成果:
- 在WET中,较高水平的健康信念预测了较低的PTSD症状和随着时间的推移症状的减少.
- 在CPT中,更高的负面情绪和积极的自我看法预测了更好的结果.
- 在CPT中,较低的绝望度也预测了随访期间的症状改善和下降.
结论:
- 湿促进了创伤的适应性处理,预测了长期PTSD症状的改善.
- 情绪参与和认知变化似乎维持了CPT的治疗收益.
- 叙事分析提供了对长期PTSD恢复的差异预测因素的见解.
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